ࡱ> ) qbjbjLL <.dd.dd |p p 8lmL/h&j####W w rgtgtgtgtgtgtg$Uj mg-WWg##4g.;%;%;%R##rg;%rg;%;%:_~d#|^a6^gg</hTa*mG ml~dm~d;%gg"n/hmp {: Form Instructions: This form must accompany any Delivery Order (DO) or Service Contract (SC) of a value over $5,000. If this is a sole source award and the Pre-Qualified Vendor List (PQVL) was not utilized please complete the WCB form instead. Contract Administrator:Dept./Division/ProgramOriginal CT or DO Amount: $CT or DO Number:Start Date:End Date:Date Vendor Received Award NotificationVendor Name and VC#If this is an Amendment complete the following:Amendment Amount:$Revised Agreement Amount$Amendment Date:Revised Agreement End Datefb88 Armory Rental Program  FORMCHECKBOX  Check here if per the Executive Order the fb88 Armory Rental Program was considered.  Explain why the Armory was not utilized: COMPLETE ONE SECTION BELOW (1, 2 OR 3)Delivery Order - Complete this section when processing a Delivery Order (Attach this form and the awarded quote to AdvantageME.) For mini-bids, list all Identified Vendors:   What factors were used in determining this list (geographical, capacity, etc.)  List all vendors who responded to the mini-bid and their bid price:   Review and scoring process for mini-bids.   FORMCHECKBOX  This award is the result of availability and lowest cost. or  FORMCHECKBOX  This award is the result of availability and best value (cost and offerings). In the space below, provide an award justification of how best value was determined. Service Contract - Complete this section if processing a Service Contract (Enter SC into Advantage and attach SC and this form to PurchasingME)RFP  If a RFP process was used complete the following: RFP#:  FORMTEXT        FORMCHECKBOX  Initial contract.  FORMCHECKBOX  First renewal.  FORMCHECKBOX  Second renewal.  FORMCHECKBOX  Third renewal. If this is a renewal, simply enter the original RFP number, check the appropriate box, sign and date.  List all Bidders who submitted proposals: Quotes For quotes awarded on availability and lowest cost please provide the following: List all vendors who responded to the quote and their bid price:  Amendment Complete this section if processing an Amendment to an existing a Service Contract or Delivery OrderProvide a full description of the amendment (what changes are being made to the contract) AND explain the necessity of the amendment (why the amendment needs to be done). Amendments are performed to make small changes to the scope of work, extend the termination date and/or change the cost of the agreement. If the amendment includes the addition or reduction of funds, describe how the amendment amount was determined. If the amendment did not include a change to the agreement amount, state N/A this amendment does not modify the agreement amount. 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